JESSICA BROX (NPI# 1821488081) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821488081 |
| Entity Type | Individual |
| Full Name | JESSICA BROX |
| Practice Address |
525 W 200 N Mona UT 84645 |
| Mailing Address |
619 N 500 W Provo UT 84601-1547 |
| Practice Telephone | 8013754240 |
| Practice Fax Number | 8013754241 |
| Mailing Telephone | 8013754240 |
| Mailing Fax Number | 8013754241 |
| Enumeration Date | 2015-01-27 |
| Last Update Date | 2015-01-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| Street Address |
525 W 200 N |
| City | MONA |
| State | UT |
| Zip Code | 84645 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417260100 | Lucas Kane | Counselor | 525 W 200 N, Mona, UT 84648 | 2010-07-22 |
| 1083077143 | Anna Hallows | Counselor | 525 W 200 N, Mona, UT 84648 | 2016-04-05 |
| 1629431788 | Randy Gilliland | Psychologist | 525 W 200 N, Mona, UT 84648 | 2016-04-05 |
| 1730547613 | Brielle Leblanc | Counselor | 525 W 200 N, Mona, UT 84645 | 2016-02-05 |
| 1538526728 | Jarrod Cook | Counselor | 525 W 200 N, Mona, UT 84645 | 2016-01-20 |
| 1164812343 | Alexander Atwood | Counselor | 525 W 200 N, Mona, UT 84645 | 2015-01-27 |
| 1588067763 | Janessa Goble | Counselor | 525 W 200 N, Mona, UT 84645 | 2014-10-02 |
| 1235538356 | Dillon Anderson | Counselor | 525 W 200 N, Mona, UT 84645 | 2014-08-14 |
| 1194134320 | Nefi D Ariza | Counselor | 525 W 200 N, Mona, UT 84645 | 2014-08-13 |
| 1467861690 | Monica G Gibb | Counselor | 525 W 200 N, Mona, UT 84645 | 2014-08-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487164406 | Erik Vernon Wells | Social Worker | 5400 Old Hwy 91, Mona, UT 84645 | 2017-10-04 |
| 1699076315 | Rosemary T Williams | Massage Therapist | 41 S West Ridge Road, Hc 60 309, Rocky Ridge Town, UT 84645 | 2010-11-11 |
| 1588057111 | Sean Sagers | Counselor | 525 West 200 North, Mona, UT 84645 | 2015-03-06 |
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912243825 | Cory Schow | Counselor | 525 West 200 North, Mona, UT 84648 | 2012-12-20 |
| 1609174739 | Ryan Brown | Counselor | 525 W. 200 N., Mona, UT 84648 | 2011-03-15 |
| 1194021501 | Daniel Kimball | Counselor | 525 W. 200 N., Mona, UT 84648 | 2011-02-02 |
| 1417260100 | Lucas Kane | Counselor | 525 W 200 N, Mona, UT 84648 | 2010-07-22 |
| 1083077143 | Anna Hallows | Counselor | 525 W 200 N, Mona, UT 84648 | 2016-04-05 |
| 1730547613 | Brielle Leblanc | Counselor | 525 W 200 N, Mona, UT 84645 | 2016-02-05 |
| 1538526728 | Jarrod Cook | Counselor | 525 W 200 N, Mona, UT 84645 | 2016-01-20 |
| 1588057111 | Sean Sagers | Counselor | 525 West 200 North, Mona, UT 84645 | 2015-03-06 |
| 1164812343 | Alexander Atwood | Counselor | 525 W 200 N, Mona, UT 84645 | 2015-01-27 |
| 1588067763 | Janessa Goble | Counselor | 525 W 200 N, Mona, UT 84645 | 2014-10-02 |
| Find all providers in MONA | ||||
Please comment or provide details below to improve the information on JESSICA BROX.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.